Community Medicine, School of Dental Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Orthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Pain Res Manag. 2017;2017:7438326. doi: 10.1155/2017/7438326. Epub 2017 Jul 30.
Neuropathic pain is a common phenomenon that affects millions of people worldwide. Maxillofacial structures consist of various tissues that receive frequent stimulation during food digestion. The unique functions (masticatory process and facial expression) of the maxillofacial structure require the exquisite organization of both the peripheral and central nervous systems. Neuralgia is painful paroxysmal disorder of the head-neck region characterized by some commonly shared features such as the unilateral pain, transience and recurrence of attacks, and superficial and shock-like pain at a trigger point. These types of pain can be experienced after nerve injury or as a part of diseases that affect peripheral and central nerve function, or they can be psychological. Since the trigeminal and glossopharyngeal nerves innervate the oral structure, trigeminal and glossopharyngeal neuralgia are the most common syndromes following myofascial pain dysfunction syndrome. Nevertheless, misdiagnoses are common. The aim of this review is to discuss the currently available diagnostic procedures and treatment options for trigeminal neuralgia, glossopharyngeal neuralgia, and myofascial pain dysfunction syndrome.
神经性疼痛是一种常见的现象，影响着全球数百万人。颌面结构由各种组织组成，在食物消化过程中会频繁受到刺激。颌面结构的独特功能（咀嚼过程和面部表情）需要外周和中枢神经系统的精细组织。神经痛是一种头部-颈部区域的阵发性疼痛障碍，其特征是一些常见的共同特征，如单侧疼痛、发作的短暂性和复发性，以及在触发点处的浅表和冲击样疼痛。这些类型的疼痛可能在神经损伤后出现，也可能是影响外周和中枢神经功能的疾病的一部分，或者是心理上的。由于三叉神经和舌咽神经支配口腔结构，因此三叉神经痛和舌咽神经痛是最常见的肌筋膜疼痛功能障碍综合征后的综合征。然而，误诊很常见。本文的目的是讨论目前可用于诊断三叉神经痛、舌咽神经痛和肌筋膜疼痛功能障碍综合征的诊断程序和治疗选择。
